Active NPI
Brooke Michelle Ervin
- Nurse Practitioner
- Matthews, NC
National Provider Identifier
1891988077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5003350
- Practice address
- 1401 Matthews Township Pkwy Ste 312
Matthews, NC 28105 - Phone
- (704) 316-9001
- Fax
- (704) 316-9008
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 161919 | NC | |
| Nurse Practitioner | 363L00000X | 5003350 | NC | Primary |
Addresses
Primary practice location
1401 Matthews Township Pkwy Ste 312
Matthews, NC 28105
Mailing address
40 Medicine Circle Clinic 1L
Durham, NC 27710-0001
Phone (919) 681-1700
Other practice location 1
1540 Sunday Dr
Raleigh, NC 27607-6010
Phone (919) 782-3456
Other practice location 2
1540 Sunday Dr
Raleigh, NC 27607-6010
Phone (919) 782-3456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891988077 | Other | NC | NPI |
Other names 1
- Brooke Michelle Rhodes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
40 Duke Medicine Cir
Durham, NC 27710-3810
Phone (919) 684-8111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161919 | NC | MD | Nurse Practitioner |
| 5003350 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Orthopedic & Sports Medicine Center of Or LLC | Past | Accepting new patients | |
| University of North Carolina at Chapel Hill | Past | Accepting new patients |
Locations
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
1540 Sunday Dr
Raleigh, NC 27607
Phone (919) 782-3456
Interoperability endpoints
- bervin576727@direct.medicine.duke.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Orthopaedic Surgery Physician
- Scappoose, OR
- NPI 1639596588
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1891988077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MEDICINE CIRCLE CLINIC 1L",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-681-1700",
"fax_number": "919-668-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MATTHEWS TOWNSHIP PKWY STE 312",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "28105",
"telephone_number": "704-316-9001",
"fax_number": "704-316-9008"
}
],
"practiceLocations": [
{
"address_1": "1540 Sunday Dr",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276076010",
"country_code": "US",
"telephone_number": "919-782-3456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1540 Sunday Dr",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276076010",
"country_code": "US",
"telephone_number": "919-782-3456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERVIN",
"first_name": "BROOKE",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "161919",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5003350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1891988077",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "RHODES",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.